Find recommendations from statutory reviews of domestic homicides, published in the Home Office DHR Library. Victim and perpetrator names are never displayed on this page.
Newest publication first
AI-generated summary The report identifies inconsistent risk assessment and management by mental health services, poor inter-agency communication, delays in Mental Health Act assessments, and inadequate police responses to domestic incidents, particularly rega…
AI-generated summary Key concerns include the perpetrator's extensive use of coercive control, economic, financial, and sexual abuse, compounded by the victim's immigration status and the perpetrator's manipulation of their children. Agency responses were hamp…
AI-generated summary The review identifies systemic failures in inter-agency information sharing and communication, particularly concerning domestic abuse risk assessment and mental health crisis response. It highlights missed opportunities to engage the victi…
AI-generated summary The review identified missed opportunities for agencies to intervene, including non-compliant police practice and a lack of routine enquiry for domestic abuse. It highlights the need for improved multi-agency information sharing, training …
AI-generated summary The review identified inconsistent police response and victim care, including failures to fully implement domestic abuse policies and keep victims informed. It also highlighted insufficient attention to child safeguarding, missed opportuni…
AI-generated summary The review identifies systemic failures in multi-agency understanding and application of adult safeguarding, domestic abuse, and mental capacity legislation, particularly concerning a vulnerable victim with a learning disability. It highli…
AI-generated summary This DHR identifies a lack of agency involvement and missed opportunities to recognise high-risk behaviours, including coercive control, stalking, and the victim's fear, which were not identified by family, friends, or professionals. It al…
AI-generated summary The review highlights missed opportunities by agencies to identify and intervene in domestic abuse, particularly regarding the victim's minimisation of violence and third-party reluctance to report. It also notes inconsistencies in police …
AI-generated summary The review identifies that agencies focused on the perpetrator's mental health and vulnerability, leading to missed opportunities for earlier criminal justice intervention for escalating harassment. There was a lack of suitable services fo…
AI-generated summary The report highlights a lack of formal multi-agency coordination for adults with capacity making unwise decisions, gaps in police safeguarding referrals, and insufficient awareness of 'cuckooing' and prescription drug misuse. It also point…
AI-generated summary The review identified concerns regarding the management and transfer of the perpetrator's severe mental illness records, leading to a lack of monitoring. It also highlighted missed opportunities by health services to identify potential dom…
AI-generated summary The review identified underlying relationship tensions, mental health issues, and financial pressures, but a lack of reported domestic abuse. Concerns were raised regarding missed opportunities to recognise the perpetrator's pattern of sel…
The index holds 692 reviews from the Home Office library. 9 are not yet listed here while recommendation extraction and verification completes. 5,050 of 10,174 verified recommendations are matched to organisations tracked in the index.
These are statutory reviews under section 9 of the Domestic Violence, Crime and Victims Act 2004.